Page 1 of 74
AHIP FINAL EXAM: THE DEFINITIVE 2026-2027
UPDATED CERTIFICATION CRACKING
COMPENDIUM | FEATURING VERIFIED EXAM
QUESTIONS WITH CORRECT ANSWERS,
EXPERT-CRAFTED DETAILED RATIONALES,
AND A GUARANTEED A+ PASS STRATEGY FOR
MEDICARE ADVANTAGE AND PART D
CERTIFICATION SUCCESS
Mr. Khan's employer has recently dropped
comprehensive creditable prescription drug
coverage that was offered to company
retirees. The company told Mr. Khan that,
because he was affected by this change, he
would qualify for a special election period.
Mr. Khan contacted you to find out more
about what this means. What can you tell
him? >>correct answer >> It means that
he qualifies for a one-time opportunity to
enroll in a Part D prescription drug plan.
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Mr. Chambers suffers from diabetes which
has gotten progressively worse during the
last year. He is currently enrolled in Original
Medicare (Parts A and B) and a Part D
prescription drug plan and did not enroll in a
Medicare Advantage (MA) plan during the
last annual open enrollment period (AEP)
which has just closed. Mr. Chambers has
heard certain MA plans might provide him
with more specialized coverage for his
diabetes and wants to know if he must wait
until the next annual open enrollment period
(AEP) before enrolling in such a plan. What
should you tell him? >>correct answer >>
If there is a special needs plan (SNP) in Mr.
Chambers's area that specializes in caring
for individuals with diabetes, he may enroll
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in the SNP at any time under a special
election period (SEP).
Which of the following individuals are
likely to qualify for a special election period
(SEP) for either an MA or Part D due to a
change of residence?
I. Edward (enrolled in MA and Part D)
moves to a new home within the same
neighborhood in his existing plan's service
area.
II. Fiona (enrolled in MA and Part D) moves
cross-country to an area outside her existing
plan's service area.
III. Gilbert moves into a plan service area
where there is now a Part D plan available to
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him from a service area where no Part D
plan was available.
IV. Henry makes a permanent move to a
new state providing him with new MA and
Part D options >>correct answer >> II,
III, and IV only
Mr. Washington is turning 65 next month
and has asked you what he can do, and when
he must do it, with respect to enrolling in
Part D. What could you tell him?
>>correct answer >> He is currently in the
Part D Initial Enrollment Period (IEP), and
during this time, he may make one Part D
enrollment choice, including enrollment in a
stand-alone Part D plan or an MA-PD plan.
AHIP FINAL EXAM: THE DEFINITIVE 2026-2027
UPDATED CERTIFICATION CRACKING
COMPENDIUM | FEATURING VERIFIED EXAM
QUESTIONS WITH CORRECT ANSWERS,
EXPERT-CRAFTED DETAILED RATIONALES,
AND A GUARANTEED A+ PASS STRATEGY FOR
MEDICARE ADVANTAGE AND PART D
CERTIFICATION SUCCESS
Mr. Khan's employer has recently dropped
comprehensive creditable prescription drug
coverage that was offered to company
retirees. The company told Mr. Khan that,
because he was affected by this change, he
would qualify for a special election period.
Mr. Khan contacted you to find out more
about what this means. What can you tell
him? >>correct answer >> It means that
he qualifies for a one-time opportunity to
enroll in a Part D prescription drug plan.
, Page 2 of 74
Mr. Chambers suffers from diabetes which
has gotten progressively worse during the
last year. He is currently enrolled in Original
Medicare (Parts A and B) and a Part D
prescription drug plan and did not enroll in a
Medicare Advantage (MA) plan during the
last annual open enrollment period (AEP)
which has just closed. Mr. Chambers has
heard certain MA plans might provide him
with more specialized coverage for his
diabetes and wants to know if he must wait
until the next annual open enrollment period
(AEP) before enrolling in such a plan. What
should you tell him? >>correct answer >>
If there is a special needs plan (SNP) in Mr.
Chambers's area that specializes in caring
for individuals with diabetes, he may enroll
, Page 3 of 74
in the SNP at any time under a special
election period (SEP).
Which of the following individuals are
likely to qualify for a special election period
(SEP) for either an MA or Part D due to a
change of residence?
I. Edward (enrolled in MA and Part D)
moves to a new home within the same
neighborhood in his existing plan's service
area.
II. Fiona (enrolled in MA and Part D) moves
cross-country to an area outside her existing
plan's service area.
III. Gilbert moves into a plan service area
where there is now a Part D plan available to
, Page 4 of 74
him from a service area where no Part D
plan was available.
IV. Henry makes a permanent move to a
new state providing him with new MA and
Part D options >>correct answer >> II,
III, and IV only
Mr. Washington is turning 65 next month
and has asked you what he can do, and when
he must do it, with respect to enrolling in
Part D. What could you tell him?
>>correct answer >> He is currently in the
Part D Initial Enrollment Period (IEP), and
during this time, he may make one Part D
enrollment choice, including enrollment in a
stand-alone Part D plan or an MA-PD plan.
